Introduction of “Papazian Pusher: ” A Modified-Design Knot Pusher for Surgical Repair of Cleft PalatesPapazian, Nazareth J. MD; Chahine, Fadl MD; Atiyeh, Bishara MD, FACS; Deeba, Samer MD; Zgheib, Elias MD; Abu-Sittah, Ghassan MD, FRCS (Plast)Journal of Craniofacial Surgery: September 2015 - Volume 26 - Issue 6 - p 1975–1976 doi: 10.1097/SCS.0000000000001926 Technical Strategies Buy Abstract Author InformationAuthors Article MetricsMetrics Tying sutures is an integral aspect of any surgery and reliable instruments are essential for hassle-free procedures including craniofacial surgeries. Knot pushers have been widely known for their application in various laparoscopic, arthroscopic, and anal surgeries. The literature reveals numerous articles pertaining to knot pushers, as well as improvements on existing designs. Nevertheless, no application of knot pushers in the surgical repair of cleft palates has been described. We describe a new knot pusher “Papazian Pusher” (PP) finely designed for application in oral surgeries in general and repair of cleft palates in particular. The instrument was used satisfactorily in repair of cleft palate surgeries and no complications were encountered. The PP was found, overall, to be easy to use, and helps in performing faster, stronger, smooth, and secure knots. Department of Surgery, Division of Plastic and Reconstructive Surgery, American University of Beirut Medical Center, Beirut, Lebanon. Address correspondence and reprint requests to Nazareth J. Papazian, MD, Department of Surgery, Division of Plastic and Reconstructive Surgery, American University of Beirut Medical Center, Beirut, Lebanon; E-mail: email@example.com Received 26 February, 2015 Accepted 31 March, 2015 The authors report no conflicts of interest. © 2015 by Mutaz B. Habal, MD.